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33213 Insert pulse gen dual leads

What 33213 is

CMS fee schedule short descriptor: Insert pulse gen dual leads.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 33213 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)5.152.721.229.09$303.61
Facility (hospital, ASC)5.152.721.229.09$303.61

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: 90-day global period.

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Medically Unlikely Edit (MUE)

Medicare caps 33213 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 33213? These codes are bundled into it

33213 is a Column 1 code in 319 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
00530Anes perm transvns pm insj0 - no modifier bypassCheck pair
00534Anes insertion/rplcmt cvdfb0 - no modifier bypassCheck pair
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0521TInterrog dev eval wcs ip1 - modifier may bypassCheck pair
0522TPrgrmg dev eval wcs ip1 - modifier may bypassCheck pair
0525TInsj/rplcmt compl iims1 - modifier may bypassCheck pair
0526TInsj/rplcmt iims eltrd only0 - no modifier bypassCheck pair
0527TInsj/rplcmt iims implt mntr1 - modifier may bypassCheck pair
0528TPrgrmg dev eval iims ip1 - modifier may bypassCheck pair
0529TInterrog dev eval iims ip1 - modifier may bypassCheck pair
0530TRemoval complete iims0 - no modifier bypassCheck pair
0531TRemoval iims electrode only0 - no modifier bypassCheck pair
0532TRemoval iims implt mntr only0 - no modifier bypassCheck pair
0571TInsj/rplcmt icds ss eltrd0 - no modifier bypassCheck pair
0572TInsertion ss dfb electrode0 - no modifier bypassCheck pair
0573TRemoval ss dfb electrode0 - no modifier bypassCheck pair
0574TRepos prev ss impl dfb eltrd0 - no modifier bypassCheck pair
0575TPrgrmg dev eval icds ss ip0 - no modifier bypassCheck pair
0576TInterrog dev eval icds ss ip0 - no modifier bypassCheck pair
0577TEphys eval icds ss0 - no modifier bypassCheck pair
0578TRem interrog dev icds phys0 - no modifier bypassCheck pair
0579TRem interrog dev icds tech0 - no modifier bypassCheck pair
0580TRmvl ss impl dfb pg only0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0650TPrgrmg dev eval scrms remote1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair

Showing 30 of 319 column 2 codes. Use the pair checker for any specific combination.

33213 is bundled into these codes

33213 appears as a Column 2 code in 17 active edits. Reported with one of these Column 1 codes on the same date of service, 33213 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0515TInsj wcs lv compl sys1Check pair
0516TInsj wcs lv eltrd only1Check pair
0517TInsj wcs lv both compnt pg1Check pair
0695TBdy srf mpg pm/cvdfb tm impl1Check pair
33206Insert heart pm atrial1Check pair
33212Insert pulse gen sngl lead1Check pair
33216Insert 1 electrode pm-defib0Check pair
33217Insert 2 electrode pm-defib0Check pair
33218Repair lead pace-defib one0Check pair
33220Repair lead pace-defib dual0Check pair
33221Insert pulse gen mult leads0Check pair
33226Reposition l ventric lead0Check pair
33227Remove&replace pm gen singl0Check pair
33228Remv&replc pm gen dual lead0Check pair
33229Remv&replc pm gen mult leads0Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.